Individual provider Active NPI

Neil Thomas Shmunes, M.D.

  • Ophthalmology Physician
  • Jacksonville Beach, FL
National Provider Identifier
1518068329
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
047073 Issued in FL
Practice address
3316 Third Street South
Suite 103
Jacksonville Beach, FL 32250
Phone
(904) 241-7865
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 047073 FL Primary
Ophthalmology Physician 207W00000X 024091 GA

Addresses

Primary practice location

3316 Third Street South
Suite 103
Jacksonville Beach, FL 32250

Mailing address

152 University Boulevard North
Jacksonville, FL 32211
Phone (904) 725-2185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000603 FL Practitioner - Ophthalmology 4688693955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Georgia School of Medicine, 1977
Medicare assignment
May accept Medicare assignment
Group practices
Specialty Eye Surgeons, PAGroup PAC ID 9133534662, 3 clinicians

Practice addresses (Care Compare)

240 Ponte Vedra Park Dr
Suite 2020
Ponte Vedra Beach, FL 32082-6601
Phone (904) 509-7082

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
047073FLMDOphthalmology Physician
024091GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Eye Surgeons, PA Ophthalmology CurrentSince Feb 14, 2021 Accepting new patients

Locations

15255 Max Leggett Pkwy
Jacksonville, FL 32218
Phone (904) 383-1000

240 Ponte Vedra Park Dr
Ste 202
Ponte Vedra Beach, FL 32082
Phone (904) 425-5075

240 Ponte Vedra Park Dr
Ste 2020
Ponte Vedra Beach, FL 32082
Phone (904) 509-7082

240 Ponte Vedra Park Dr
#2020
Ponte Vedra Beach, FL 32082

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518068329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 UNIVERSITY BOULEVARD NORTH",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32211",
            "telephone_number": "904-725-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 THIRD STREET SOUTH",
            "address_2": "SUITE 103",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "32250",
            "telephone_number": "904-241-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHMUNES",
        "first_name": "NEIL",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "047073",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "024091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.